What Can Be Done for Crepey, Saggy Skin Under the Eyes?

I am in my 40s, with fair Irish skin. My skin looks pretty good except under my eyes- I have crepey loose skin directly under my eye when I smile. (Crows feet are minimal.) I've read that filler won't help though years ago I did get Sculptra in the hollows and thought it looked pretty good. My skin was not as crepey at that point. Can anything be done?

Doctor Answers 12

Crepey, Saggy Lower Eyelid Skin treatment options

May 27th, 2013

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First I would address the reason for these lower lid and crows-feet wrinkles. These type of wrinkles are often seen in patients that squint so first of all I would make sure that if you need visual correction then use glasses or contacts (if not sure, have your vision tested) and use sunglasses on bright days. Now for treatment options, other than the the frequent use of moisturizers, Retinoids like Retin-A, and sunscreens you can consider the use of fillers like Restylane and Juvederm are helpful to decide the degree of benefit from supporting the skin. If you like the effect then consider a more permanent solution like fat transfer. Secondly, a deeper TCA peel, Sciton SkinTyte laser or fractional laser treatments often help. Both fillers and resurfacing procedures are complementary and synergistic in your case. For redundant skin, a conservative skin pinch blepharoplasty may also be of benefit. A qualified board certified aesthetic surgeon will help you find the right treatment for you

Procedures to Correct Under Eye Skin Texture

October 13th, 2014

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If your only issue is the skin texture that you are seeing under the eyes I would look into a resurfacing. This can be done with a Laser or a Chemical. In this procedure we are removing skin and letting new skin grow into the area, when we do this we get a collagen response from the body that will help to tighten the skin. This is a procedure that we do often at our practice and see great results.

If there are multiple issues happening other than just the texture of the skin a combination of procedures will give you the best result. These treatments could include filler, fat grafting, or a lower blepharoplasty.

Several options for crepey skin under eyes

March 13th, 2014

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Under the eyes wrinkles that occur with smiling are often very successfully addressed using an injectable neurotoxin such as Botox. This area does have a slightly higher risk of bruising than other areas Botox is typically used.

With regards to crepey, loose skin there are several surgical and non-surgical options to improve the tone of your skin. One option that is associated with no down time is skin tightening using a radiofrequency device such as Exilis or Ulthera. These devices deliver a controlled amount of heat to the deeper layers of the skin which in turn stimulates fibroblasts to make new collagen. Over the following weeks-months this new collagen contracts and tightens up the treated skin giving a more youthful appearance. Exilis usually requires 4 treatments spaced 3 weeks apart while Ulthera usually requires 2-3 sessions.

Laser resurfacing is another option that usually only requires one session. The down-side is that the first few days after the treatment your skin will be swollen and red as it heals. The upside is that it requires only one session and gives excellent results after just a couple of weeks.

Skin Rejuvenation Pictures

A combination of resurfacing treatments plus very conservative surgery should help.

December 10th, 2013

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Without an examination, it is difficult to say for sure. If
the crêpey appearance is as minimal as it sounds, you could see great results
from laser resurfacing to tighten the surface of the skin and promote collagen
production. Alternatively (or perhaps in addition), you may consider a very,
very conservative blepharoplasty (eye lift surgery), but be sure to choose a
highly qualified cosmetic surgeon with a lot of experience working on the eye
area. And finally, invest in a nourishing night cream and an outstanding
sunscreen and use them both religiously to further protect your skin’s firmness
and elasticity.

Crepey Loose Lower Eyelids

June 18th, 2013

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Crepey loose lower eyelids may be improved with surgical and nonsurgical treatments. Depending on the individual situation chemical peels, lasers and or surgery can be performed to improve the lower eyelids. It is recommended to be evaluated by a plastic surgeon to discuss the various options.

There are many options available for you to treat under-eyelid skin

August 6th, 2012

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Creepy loose skin under the eye can be improved with Retin-A, good sunscreen and moisturizer, or mild chemical peels. If more wrinkles than usual are present, a heavier chemical peel, laser or skin blepharoplasty will also improve this. For depressions or hollows, usually hyaluronic acid fillers are good and also reversible in case of small lumps or irregularities caused by this. The main thing is to go to a provider who has experience in these areas and build a long-term relationship with them so they can guide you through this process.

What Can Be Done for Crepey, Saggy Skin Under the Eyes?

July 31st, 2012

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This is a very common problem. Botox is usually the "go to" option for treatment of wrinkles related to excessive muscle movement. However, overtreatment of the area below the lower eyelid (not crow's feet) can result in temporary drooping of the lower lid. Therefore, these lines are best treated either with CO2 laser resurfacing or lower blepharoplasty. I hope this information is helpful.

What Can be Done for Crepey, Saggy Skin Under my Eyes

July 26th, 2012

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My recommended treatment plan for Crepey, Saggy Lower Eyelid Skn would depend upon a examination but I will do my best to respond. First I would not recommend a laser resurfacing procedure at you age. The reasons are: 1. SLOW RECOVERY 2. A difficult post-laser treatment plan.. I would therefore recommend a plan that is less aggressive and will give you about a 25% to 40% improvement:
• Profractional Laser Twice per year
• Microlaser Peel once per year
• Plus or Minus a Peleve' treatment: 3 times per year.
• Topical Tripeptide Cell Activator (with Stem Cell) Topical
This will give a good maintenance approach and avoid the overly envasive Full Laser Resurfacing which may be required in your 50's.

Treatment for crepey, saggy skin under the eyes

March 9th, 2012

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In my office, we have had the best results treating fine lines, crepey and saggy skin, and dark circles under the eyes using Neocutis Lumière Bio-restorative Eye Cream. Lumière contains a complex blend of human growth factors, cytokines and Interleukins, hyaluronic acid, and caffeine. For your convenience, Lumière can be purchased online from TheWebDermatologist.com.

These answers are for educational purposes and should not be relied upon as
a substitute for medical advice you may receive from your physician. If you
have a medical emergency, please call 911. These answers do not constitute
or initiate a patient/doctor relationship.